Saturday , October 23 2021

Self-medication may be more risky in hypertensive patients


Self-medication is a custom deeply rooted in our society. However, due to the lack of knowledge of the risks involved, can cause complications in particular for hypertensive people, because there are medications that, due to their active principles, may raise blood pressure (BP or BP) or interfere with the action of antihypertensive medication. Experts warn that, in this context, 5% of patients are hospitalized.

These are active ingredients that are found in frequently used products and even among the best sellers as analgesics, decongestants and corticosteroids. The image is aggravated if you take into account that 4 out of 10 people They do not know that they are hypertensive, since it is a pathology that generally seems asymptomatic.

"When a hypertensive patient is faced with a mild health problem, such as a cold or headache, he does the same as the general population: He consumes what he has at home or what another non-medical person recommends, and expects to be relieved. But self-medication in hypertensive patients is not without risk. Indeed, 5% end up hospitalized, equivalent to 162,000 patients per year in Argentina. Of this total, 10% suffer adverse drug reactions and is1% of those hospitalized for drug-related problems die ", explained the Dr. Nicolás Renna, member of the Argentine Society of Hypertension.

John (78) Take a hypertensive and eventually an analgesic with diclofenac. She was recommended by a pharmacist and says she trusts her more than the doctor.
Daniel (43) Those who also have a diagnosis of hypertension recognize that they also use some pills from time to time, without going through the doctor's office. "When I have a headache, I take acetaminophen and ibuprofen 600 if my knee really hurts."

The point is that hypertension occurs in younger and younger people and those who present it may be habitual consumers of this type of medicine. This is the case of anti-inflammatories that tend to be associated with corticosteroids and that pain relief is common in the elderly.

Pharmacist Juan Motta commented with Los Andes that it is common for people to go without a prescription to buy these medicines. "In these cases, we have the habit of asking questions to know if you have risk and if you can take what they ask," he explained.

Which are they

Decongestants. They are commonly used and are part of the composition of anti-influenza and anti-allergy. Pseudoephedrine is the one that can have this hypertensive effect.

Analgesics and inflammatories. It is one of the best selling pharmacological products, most of them installed in the over-the-counter market or with the habit of self-medication, but also has an important advertising medium that in no way warns about this risk.

It is mainly aimed at ibuprofen, diclofenac and, to a lesser extent, the paracetamol.

In addition, the cardiologist Alejandro Saracco, from the Cardiovascular Prevention Program He pointed out that somehow everyone has this property. He added that some are associated with corticosteroids that retain fluids, although they are low doses, but if used improperly, can bring complications.

Effervescent tablets and envelopes. It is known that the consumption of salt (sodium) is the first thing that is restricted when there is high pressure. The impact of increased TM when ingested is greater in people over 60 years of age, explained the cardiologist Mildren del Sueldo, from the Argentine Society of Hypertension.

"Most presentations in effervescent envelopes or tablets have sodium in their composition in order to increase their solubility, and often consume effervescent sachets or tablets of acetaminophen, acetylsalicylic acid (aspirin), ibuprofen, anti-influenza or antacids." detailed

Antacids and corticosteroids. The former may interfere with the correct absorption of the antihypertensive agent. This time of year may be propitious to make use of its benefits to the bountiful meals of the parties and meetings, in which Saracco clarified that taking a single dose would not be complicated. What you have to avoid is its continued use.

To take into account

There are self-medication in three different cases, according to cardiologist Mildren of the Salary:

* When the medicines are consumed without being prescribed by the doctor.

* By continuing to take a medicine that may have been prescribed by a doctor for years without periodic checks.

* when the dose is varied or how often it was prescribed initially.

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Dr. Alejandro Saracco stressed that it is important that patients who already have a diagnosis of hypertension consult their doctor when they need to incorporate medication, since the professional who knows your table can recommend the best active principle and the appropriate dose.

On the other hand, he suggested that Anyone over 35 who is going to start taking this type of medication should first check their blood pressure.

Finally clarified that if the take is only once and eventual should have no consequences.

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